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How To Get Healthy Part 2 — Dr. Sean 'O Mara

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This guy is super healthy. His psoas muscles are enormous, kissing his abdominal rectus. Giant oblique muscles, very little visceral fat in abdomen, no subcutaneous fat. Olympic athlete who doesn't do pull-ups, push-ups, or lift weights—he's a sprinter. Sprinting is a survival skill: 30,000 years ago, if you couldn't sprint, you died. To get healthy, get clients to sprint—even if old. Speaker is 56 and sprints virtually every day or every other day, short sprints. Start slow, work up; talk to physician for safe high-intensity exercise. Designed to sprint even in later years; speaker is pretty fast for 56.

MRI of guy with fair amount of visceral fat, already high-fat low-carb ketogenic, doing sunshine, walking, high-intensity exercise, sleeping well, sauna, hot/cold therapies. Chronically running 10 miles a day, 5 times a week troubled speaker. Told him stop running, try sprinting. In less than 2 months, got jacked up—at 58 years old, had to ask if on steroids. High-intensity exercise matters; how you exercise plays a role.

NFL football player legs have little subcutaneous fat; Olympic sprinter has no subcutaneous fat, beautiful legs. Series of MRI scans: 68-year-old business executive dropped visceral fat visibly in 2 weeks between week 0 and week 35 without exercising one minute. Cutting processed foods and carbohydrates makes visible internal changes. Big believer: if it doesn't get measured, it doesn't get fixed. Many patients don't lose weight—they lose visceral fat but build muscle. Measure to know.

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